First receiver/shorebased processor economic data survey

OMB Control No. 0648-0618 Expiration Date: 03/31/2018

Economic Data Collection (EDC) Form

W EST COAST GROUNDFISH

FIRST RECEIVER

AND SHOREBASED PROCESSOR

2017

NOAA Fisheries – Northwest Fisheries Science Center

Who is responsible for submitting:

• All owners of a first receiver site license in 2017; or

• All owners and lessees of a shore-based processor (as defined under “processor” at §660.11, subpart C, for purposes of EDC) that received round or headed-and-gutted IFQ species groundfish or whiting from a first receiver in 2017.

• A separate EDC form is required for each processing facility.

Complete all questions. If a question is not applicable, write "NA" in the answer box. The survey will not be considered complete unless there is an answer to every question.

Submit by September 1, 2018.

Paper submission: Completed and signed EDC forms must be mailed and postmarked by, or hand-delivered to NMFS no later than September 1, 2018. Mail or deliver to

Economic Data Collection Program (FRAM Division)

Northwest Fisheries Science Center

2725 Montlake Boulevard East

Seattle, WA 98112

Web form submission: Completed EDC web forms must be submitted electronically and the signature page faxed, or hand-delivered, or mailed and postmarked no later than September 1, 2018. Mail or deliver to address above. Fax to (206) 861-8225.

Retain a copy. Retain a copy of the completed form.

More information: www.nwfsc.noaa.gov/edc.

Questions: Visit the website above or contact Erin Steiner at (866) 791-3726 or [email protected]

Public Reporting Burden Statement

Public reporting burden for this collection of information is estimated to take 20 hours per response, including time for reviewing the instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden to Erin Steiner, National Marine Fisheries Service, Northwest Fisheries Science Center, 2725 Montlake Blvd E, Seattle, WA 98112.

Additional Information

Before completing this form, please note the following: 1) Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act, unless that collection of information displays a currently valid OMB Control Number; 2) This information is mandatory and is required to manage commercial fishing efforts under 50 CFR part 660 and under section 402(a) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.); 3) Responses to this information request are confidential under 402(b) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.). They are also confidential under NOAA Administrative Order 216-100, which sets forth procedures to protect the confidentiality of fishery statistics.

1. Contact Information and Facility Characteristics

1. Provide the buyer identification number issued by the state fish and game agencies associated with this entity or facility. Enter “NA” if this is a processing facility that does not have a buyer identification number.

Processor/Buyer IDs

Washington Department of Fish and Wildlife

__________

Oregon Department of Fish and Wildlife

__________

California Department of Fish and Game

__________

2. Provide the following information about this receiving or processing facility.

Name of Facility		First Receiver Site License Number for 2017
Business Mailing Address Street / PO Box		Business Phone ( )
		Business Fax ( )
City	State	Zip Code	Business Email

3. Individual completing this report. If your address, phone, and email are provided above, you do not need to repeat them here, but please provide your name and title.

Name			Title
Business Mailing Address Street / PO Box				Business Phone ( )
				Business Fax ( )
City	State	Zip Code		Business Email

4. Answer the following questions related to the most recent appraisal of this facility.

What was the year of this facility's last appraisal?	_________ yyyy
What was the market value of this facility from the appraisal, rounded to the nearest 100 dollars?	$_________
What was the replacement value of the facility from the appraisal, rounded to the nearest 100 dollars?	$_________
Did the survey values given above include the value of all processing equipment* contained on-site?	Yes No

5. For the remainder of the survey, report values from your 2017 fiscal year. When did this facility’s 2017 fiscal year begin?

_____/_____/__________

mm dd yyyy

Please report values from your 2017 fiscal year for the remainder of this survey.

2. Capitalized Expenditures

6. Provide the 2017 capitalized expenditures associated with the facility buildings, machinery, and equipment. Round all answers to the nearest 100 dollars.

Capitalized Expenditure Category	Total Capitalized Expenditures
Capitalized expenditures on buildings (exclude land but include building improvements)	$___________________
Capitalized expenditures on new and used machinery and equipment (include only equipment used to process*, transport† on-site, or store‡ fish on-site)	$___________________

3. Employees and Payroll

Provide the following information about the number of employees and wages. Include full and part-time employees and temporary employees working at this facility. The information is requested separately for production workers and all other employees, which are defined below.

7. Provide the number of production workers in the following table. Production workers include those workers at this facility (up through and including the line-supervisor level) engaged in fabricating, processing, assembling, inspecting, receiving, packing, warehousing, shipping, maintenance, repair, janitorial, product development, or transporting product on-site. If your fiscal year does not follow the calendar year, use the month that corresponds with your fiscal year.

For the week of your fiscal year that includes	Number of production workers (full time, part time, and temporary)	Total Hours Worked (in the one week)
January 12th	____________workers	___________hrs/week
February 12th	____________workers	___________hrs/week
March 12th	____________workers	___________hrs/week
April 12th	____________workers	___________hrs/week
May 12th	____________workers	___________hrs/week
June 12th	____________workers	___________hrs/week
July 12th	____________workers	___________hrs/week
August 12th	____________workers	___________hrs/week
September 12th	____________workers	___________hrs/week
October 12th	____________workers	___________hrs/week
November 12th	____________workers	___________hrs/week
December 12th	____________workers	___________hrs/week

8. Provide the number of all other employees in the following table. All other employees includes those involved in supervision above line-supervisor level, sales, advertising, credit, collection, installation, cafeteria, recordkeeping, clerical and routine office functions, guard services, executive, purchasing, finance, and legal. If hours are not tracked for salaried employees, please assume a 40-hour work week. If your fiscal year does not follow the calendar year, use the month that corresponds with your fiscal year.

For the week of your fiscal year that includes	Number of all other employees (full time, part time, and temporary)	Total Hours Worked (in the one week)
March 12th	___________________employees	_________________hrs/week

9. Provide the total number of individuals who worked at this facility during 2017 in production activities and in all other activities.

• This value should represent the number of individuals who worked at any point during the year, rather than the number of positions.

• Include full-time and part-time workers, contract workers, temporary workers, and workers on paid leave.

Labor Category	Total Number of Individuals
Production workers (see definition in Question 7)	___________ individuals
All other employees (see definition in Question 8)	___________ individuals

10. Provide the total 2017 labor expenses for production workers and all other employees.

• Include wages, bonuses, benefits, payroll taxes, and unemployment insurance.

Labor Category	Total Expenses
Production workers (see definition in Question 7)	$__________________
All other employees (see definition in Question 8)	$__________________

4. Quota Costs

11. Provide the total cost of quota pounds and quota shares purchased or leased during 2017 in the West Coast Groundfish Trawl Catch Share Program. Purchase of quota reflects a permanent transfer, whereas lease implies a temporary transfer.

Purchase or Lease of Quota	Total Costs
Lease of quota pounds	$__________________
Purchase of quota pounds	$__________________
Lease of quota shares	$__________________
Purchase of quota shares	$__________________

5. Expenses and Depreciation

12. Provide the total expenses on utilities at your facility in 2017.

Utility Expense Category	Total Expenses
Electricity	$__________________
Natural gas	$__________________
Propane gas for transportation and processing	$__________________
Other gas (not gasoline)	$__________________
Water	$__________________
Sewer, waste, and byproduct disposal	$__________________

13. Provide the total expenses on rental or lease payments for this facility.

Rental or Lease Payments	Total Expenses
Rental or lease of buildings, job-site trailers, and other structures (including land)	$__________________
Rental or lease of processing machinery or equipment	$__________________

14. Provide the total expenses on repair and maintenance on facility buildings, machinery, and equipment (see definitions on bottom of page 3) expensed in 2017.

Total Repair and Maintenance Expenses

$__________________

15. What was the total depreciation for all capital investments on buildings, new and used machinery and equipment (see definitions of equipment on page 3) taken in 2017?

Total Depreciation

$___________________

16. Provide the following information on 2017 custom processing of fish you owned that was performed by another processor outside of this facility.

	Total weight of fish supplied to custom processors	Custom Processing Fees Paid
Whiting	_________________lbs	$_________________
Non-Whiting Groundfish	_________________lbs	$_________________
Other (Specify):_____________	_________________lbs	$_________________

17. Provide the total amount expensed during 2017 in each of the categories below for this facility.

Expense Category	Total Expenses
Shoreside monitoring costs	$______________________
Offloading expenses paid to other facilities	$______________________
Production supplies (boots, smocks, hairnets, knives, etc.)	$______________________
Cleaning and custodial supplies	$______________________
Packing materials	$______________________
Trucking of fish to this facility	$______________________
Freight costs for supplies (excluding fish) delivered to the facility	$______________________
Non-fish ingredients (additives)	$______________________
Off-site product freezing and storage	$______________________
Communications and office supplies for the facility	$______________________
Insurance payments (property, product, personal liability and fire liability)	$______________________
Taxes (property and excise)	$______________________
Licensing fees	$______________________
Other (Specify):________________	$______________________
Other (Specify):________________	$______________________

6. Fish Received

Please refer to the following definitions for Questions 18 – 21.

• LE Trawl Vessels: fish acquired directly from a vessel registered to a Limited Entry (LE) permit with a trawl endorsement and caught either with trawl or fixed gear (longline or pots).

• LE Fixed Gear Vessels: fish acquired directly from a vessel registered to a LE permit with a fixed gear endorsement. Do not include fish caught with fixed gear using a LE permit with a trawl endorsement.

• Other Vessels: fish acquired directly from a vessel without a limited entry trawl or fixed gear endorsement, including open access fisheries.

• Non-Vessel Sources: includes fish acquired from other entities, including first receivers, processors, wholesale dealers, brokers, aquaculture producers, and transfers from outside this facility.

• Gross Cost of Fish Paid for: includes the value of any taxes paid on behalf of delivering vessels.

18. Answer the following question about this facility’s purchases of West Coast non-whiting groundfish in 2017.

Did this facility purchase processed groundfish products from a non-vessel source outside this company?	Yes No
Did this facility purchase unprocessed groundfish from a non-vessel source outside this company?	Yes No

19. Answer the following question about this facility’s purchases of other species in 2017. Please exclude Pacific whiting and West Coast non-whiting groundfish. Include non-whiting groundfish purchases from outside the West Coast.

Did this facility purchase processed products of other species from a non-vessel source outside this company?	Yes No
Did this facility purchase unprocessed other species from a non-vessel source outside this company?	Yes No

20. Provide the following information about the landing origin of groundfish received at this facility in 2017.

• If this information is not available, please write “NA.”

• Do not include fish received that you custom processed for others.

Landing Origin	Total Weight of Groundfish Received	Total Cost of Groundfish Received
Whiting
West Coast (WA, OR, CA)	____________lbs	$_______________
Canada	____________lbs	$_______________
Other (Specify):_______________	____________lbs	$_______________
Non-whiting groundfish
West Coast (WA, OR, CA)	____________lbs	$_______________
Alaska (excluding pollock)	____________lbs	$_______________
Canada	____________lbs	$_______________
Other (Specify):_______________	____________lbs	$_______________

21. In the table below provide the weight and cost of fish received in 2017. Please use definitions of sources provided on page 8. Please note that there are separate columns for fish that were not paid for and fish that were paid for.

• Do not include fish received for custom processing.

• Include fish purchased by you that are custom processed by another processor outside of this facility.

• Include any post-season adjustments.

Type and Source of Fish			Fish NOT PAID for				Fish PAID for
			Total weight not paid for due to quality or size reasons			Total weight not paid for transfers from outside this facility	Total weight of fish paid for from vessels or non-vessel sources			Gross cost of fish paid for from vessels or non-vessel sources
Whiting
LE Trawl Vessels			____________lbs				____________lbs			$____________
LE Fixed Gear Vessels			____________lbs				____________lbs			$____________
Other Vessels			____________lbs				____________lbs			$____________
Non-Vessel Sources			____________lbs			____________lbs	____________lbs			$____________
Arrowtooth flounder
LE Trawl Vessels			____________lbs				____________lbs			$____________
LE Fixed Gear Vessels			____________lbs				____________lbs			$____________
Other Vessels			____________lbs				____________lbs			$____________
Non-Vessel Sources			____________lbs			____________lbs	____________lbs			$____________
Dover sole
LE Trawl Vessels			____________lbs				____________lbs			$____________
LE Fixed Gear Vessels			____________lbs				____________lbs			$____________
Other Vessels			____________lbs				____________lbs			$____________
Non-Vessel Sources			____________lbs			____________lbs	____________lbs			$____________
English sole
LE Trawl Vessels			____________lbs				____________lbs			$____________
LE Fixed Gear Vessels			____________lbs				____________lbs			$____________
Other Vessels			____________lbs				____________lbs			$____________
Non-Vessel Sources			____________lbs			____________lbs	____________lbs			$____________
Lingcod
LE Trawl Vessels			____________lbs				____________lbs			$____________
LE Fixed Gear Vessels			____________lbs				____________lbs			$____________
Other Vessels			____________lbs				____________lbs			$____________
Non-Vessel Sources			____________lbs			____________lbs	____________lbs			$_________
Pacific sanddab
LE Trawl Vessels		____________lbs							____________lbs			$____________
LE Fixed Gear Vessels		____________lbs							____________lbs			$____________
Other Vessels		____________lbs							____________lbs			$____________
Non-Vessel Sources		____________lbs				____________lbs			____________lbs			$____________
Petrale sole
LE Trawl Vessels		____________lbs							____________lbs			$____________
LE Fixed Gear Vessels		____________lbs							____________lbs			$____________
Other Vessels		____________lbs							____________lbs			$____________
Non-Vessel Sources		____________lbs				____________lbs			____________lbs			$____________
Rex sole
LE Trawl Vessels		____________lbs							____________lbs			$____________
LE Fixed Gear Vessels		____________lbs							____________lbs			$____________
Other Vessels		____________lbs							____________lbs			$____________
Non-Vessel Sources		____________lbs				____________lbs			____________lbs			$____________
Rockfish
LE Trawl Vessels		____________lbs							____________lbs			$____________
LE Fixed Gear Vessels		____________lbs							____________lbs			$____________
Other Vessels		____________lbs							____________lbs			$____________
Non-Vessel Sources		____________lbs				____________lbs			____________lbs			$____________
Sablefish (black cod)
LE Trawl Vessels		____________lbs							____________lbs			$____________
LE Fixed Gear Vessels		____________lbs							____________lbs			$____________
Other Vessels		____________lbs							____________lbs			$____________
Non-Vessel Sources		____________lbs				____________lbs			____________lbs			$____________
Thornyheads
LE Trawl Vessels		____________lbs							____________lbs			$____________
LE Fixed Gear Vessels		____________lbs							____________lbs			$____________
Other Vessels		____________lbs							____________lbs			$____________
Non-Vessel Sources		____________lbs				____________lbs			____________lbs			$____________
Sharks, skates, rays
LE Trawl Vessels		____________lbs							____________lbs			$____________
LE Fixed Gear Vessels		____________lbs							____________lbs			$____________
Other Vessels		____________lbs							____________lbs			$____________
Non-Vessel Sources		____________lbs				____________lbs			____________lbs			$____________
Coastal pelagic (include sardines and mackerel)
Vessel Sources		____________lbs							____________lbs			$____________
Non-Vessel Sources		____________lbs				____________lbs			____________lbs			$____________
Crab
Vessel Sources		____________lbs						____________lbs			$____________
Non-Vessel Sources		____________lbs			____________lbs			____________lbs			$____________
Echinoderms (include sea urchins and sea cucumbers)
Vessel Sources		____________lbs						____________lbs			$____________
Non-Vessel Sources		____________lbs			____________lbs			____________lbs			$____________
California Halibut
Vessel Sources	____________lbs							____________lbs			$____________
Non-Vessel Sources	____________lbs			____________lbs				____________lbs			$____________
Pacific Halibut
Vessel Sources	____________lbs							____________lbs			$____________
Non-Vessel Sources	____________lbs			____________lbs				____________lbs			$____________
Herring
Vessel Sources	____________lbs							____________lbs			$____________
Non-Vessel Sources	____________lbs			____________lbs				____________lbs			$____________

21. (Continued)

Type and Source of Fish		Fish NOT PAID for			Fish PAID for
		Total weight not paid for due to quality or size reasons		Total weight not paid for transfers from outside this facility	Total weight of fish paid for from vessels or non-vessel sources	Gross cost of fish paid for from vessels or non-vessel sources
Salmon
Vessel Sources	____________lbs				____________lbs	$____________
Non-Vessel Sources	____________lbs		____________lbs		____________lbs	$____________
Shrimp
Vessel Sources	____________lbs				____________lbs	$____________
Non-Vessel Sources	____________lbs		____________lbs		____________lbs	$____________
Squid
Vessel Sources	____________lbs				____________lbs	$____________
Non-Vessel Sources	____________lbs		____________lbs		____________lbs	$____________
Sturgeon
Vessel Sources	____________lbs				____________lbs	$____________
Non-Vessel Sources	____________lbs		____________lbs		____________lbs	$____________
Tuna
Vessel Sources	____________lbs				____________lbs	$____________
Non-Vessel Sources	____________lbs		____________lbs		____________lbs	$____________
Other Shellfish
Vessel Sources	____________lbs				____________lbs	$____________
Non-Vessel Sources	____________lbs		____________lbs		____________lbs	$____________
Other Species (please list)
__________________
Vessel Sources	____________lbs				____________lbs	$____________
Non-Vessel Sources	____________lbs		____________lbs		____________lbs	$____________
__________________
Vessel Sources	____________lbs				____________lbs	$____________
Non-Vessel Sources	____________lbs		____________lbs		____________lbs	$____________

7. Annual Earnings

21. Fish Production. Provide the 2017 value of production FOB plant (after discounts and allowances and excluding freight charges).

• Frozen includes all frozen products (e.g. round, fillets, H&G).

• Unprocessed includes fish sold in the round that is not frozen.

• Include:

  • Products made or acquired during 2017 and held in inventory at the end of the year. Estimate the value on the basis of the average price received for similar products sold during the year.

  • Products shipped to other facilities of your company. Estimate the value on the basis of the average price received for similar products sold during the year.

  • Products made from custom processing performed for you.

  • Any post-season adjustments.

• Do not include:

  • Revenue from products produced or acquired in previous years.

  • Products you produced as a custom processing service for others.

  • Any additional payment you received to cover any shipping, handling, or storage costs associated with the sale beyond the plant.

  • Discards.

Type of Fish	Total weight of 2017 fish production (both processed and unprocessed)	Total value of 2017 fish production (both processed and unprocessed)
Whiting
Surimi	_______________lbs	$_______________
H&G /HGT	_______________lbs	$_______________
Fillets	_______________lbs	$_______________
Roe	_______________lbs	$_______________
Frozen Whole	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other ____________	_______________lbs	$_______________
Other ____________	_______________lbs	$_______________
Arrowtooth flounder
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Dover sole
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
English Sole
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________

22. (Continued)

Type of Fish	Total weight of 2017 fish production (both processed and unprocessed)	Total value of 2017 fish production (both processed and unprocessed)
Lingcod
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Pacific Sanddab
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Petrale sole
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Rex sole
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Rockfish
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Sablefish
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Thornyheads
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Sharks, Skates, Rays
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Coastal Pelagic (include sardines and mackerel)
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Canned	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________

22. (Continued)

Type of Fish	Total weight of 2017 fish production (both processed and unprocessed)	Total value of 2017 fish production (both processed and unprocessed)
Crab
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Canned	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Echinoderms (include sea urchins and sea cucumbers)
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
California Halibut
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Pacific Halibut
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Herring
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Salmon
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Smoked	_______________lbs	$_______________
Canned	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Shrimp
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Canned	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________

22. (Continued)

Type of Fish	Total weight of 2017 fish production (both processed and unprocessed)	Total value of 2017 fish production (both processed and unprocessed)
Squid
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Sturgeon
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Canned	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Tuna
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Canned	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Other Shellfish
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Other Non-Species Specific Products
Fish Meal	_______________lbs	$_______________
Fish Oil	_______________lbs	$_______________
Bait	_______________lbs	$_______________
Other products	_______________lbs	$_______________
Other Species (please list)
__________________	_______________lbs	$_______________
__________________	_______________lbs	$_______________
__________________	_______________lbs	$_______________

21. Answer the following questions related to this facility’s non-whiting groundfish processing operations in 2017.

Did this facility fillet groundfish?	Yes No N/A
Which best describes the groundfish fillet operations at this facility in 2017?	Hand Machine Both N/A
Did this facility freeze filleted groundfish?	Yes No N/A

21. To which final markets did this facility sell Pacific whiting in 2017? Please rank each of the following categories with regard to importance in terms of total production value. Please give a 1 to the category that is most important, 2 to the second most important, and so on until you have a ranked all groups relevant to this facility. Please mark N/A if a market category is not applicable to this facility.

• Directly to consumers includes fish sold to a direct consumer rather than another business.

• Export includes fish sold outside of the United States.

• Large-scale retailers include supermarkets, restaurant chains, grocery store chains, and other corporations.

• Small-scale retailers include fish markets, restaurants, community-supported fishery (CSF) programs, and other small businesses.

• Unknown includes fish sold to intermediary markets (i.e. fish brokers, merchant wholesalers, and processing facilities) where the final product market is unknown.

Market Category	Rank
Directly to consumers	___________
Export	___________
Large-scale retailers	___________
Small-scale retailers	___________
Unknown	___________
Other (Specify): ______________________	__________

21. To which final markets did this facility sell non-whiting groundfish in 2017? Please rank each of the following categories with regard to importance in terms of total production value. Please give a 1 to the category that is most important, 2 to the second most important, and so on until you have a ranked all groups relevant to this facility. Please mark N/A if a market category is not applicable to this facility.

Market Category	Rank
Directly to consumers	___________
Export	___________
Large-scale retailers	___________
Small-scale retailers	___________
Unknown	___________
Other (Specify): _______________________	___________

8. Other Earnings

21. Provide the revenue received by you for custom processing of fish owned by another processor outside of this facility in 2017.

	2017 Custom Processing Revenue
Whiting	$__________________
Non-Whiting Groundfish	$__________________
Other (Specify):______________	$__________________

21. Provide the revenue received in 2017 for each of the earnings sources listed below.

Earnings Source	2017 Total Revenue
Offloading earnings received from others	$__________________
Sale of quota pounds	$__________________
Leasing of quota pounds	$__________________
Leasing of quota share	$__________________
Sale of quota share	$__________________
Insurance settlements	$__________________
Other (Specify):_______________	$__________________

21. Read the following statement, and sign and date the box below.

I certify under penalty of perjury that I have reviewed all the information in this questionnaire and that it is true and complete to the best of my knowledge.
Signature	Date signed _____/_____/_________ mm dd yyyy
Print Name

Questionnaire Comments:

* Processing equipment: All equipment present at this physical location that is used for preparation or packaging of seafood to render it suitable for human consumption, retail sale, industrial uses or long-term storage, including, but not limited to, cooking, canning, smoking, salting, drying, filleting, freezing, or rendering into meal or oil.

† Transportation equipment: Equipment such as trucks, forklifts, etc. used to transport seafood within this physical location.

‡ Storage equipment: Equipment present at this physical location for packaging and freezing of seafood.